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Required Use of the JW Modifier

By Karen Greco, Clinical Consultant Effective Jan. 1, 2017, CMS required providers to use the modifier JW on claims to report the wasted portion of a drug or biological from a single-use vial (or single-use package) that is eligible for payment under...

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RAC AUDIT ALERT

By: Wayne van Halem, President Well, the RAC is back. We knew it was coming, but what we didn’t know – until now – is where they will begin focusing their audit efforts. In the last couple of weeks, the new national DMEPOS and home health and...

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Bundling Information for Mobility Equipment, Wheelchair Seating and Wheelchair Accessories

By: Kim Turner, RN – Clinical Consultant Although the major manufacturers of complex rehab mobility equipment consider the Medicare policies and equipment specifications for manual and power mobility equipment, the manufacturers’ order forms do...

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DMEPOS Competitive Bidding Round 2019 Announced

Breaking News: CMS Announces Temporary Delay of Round 2019 Notice from CMS: “The Centers for Medicare & Medicaid Services (CMS) has decided to temporarily delay moving forward with the next steps of the Round 2019 Durable Medical Equipment, Prosthetics,...

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A Quick Look at ABNs

By: Abrielle Uritz, RN, CPC – Clinical Consultant An Advanced Beneficiary Notice of Non-Coverage, better known as an ABN, is a written notice that must be issued to a Medicare fee-for-service beneficiary before furnishing items or services that are...

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